Personal Data:

Last Name:    First Name:   Id#:

Current grade: CHOOSE ONE 9 10 11       Gender: CHOOSE ONE MALE FEMALE           

Teacher: CHOOSE ONE MR. MCNAVAGE MR. SCHMIDT         Class: CHOOSE ONE 1st Period 3rd Period 4th Period 5th Period 6th Period 8th Period 9th Period

Instructions: Please answer each question completely and click once on the submit button when you have finished.  Print a copy of the Confirmation page that appears after you click on the submit button and turn it in to your physical education teacher.  Your teacher will grade it for accuracy (not for times or reps) and return it to you to keep in your personal portfolio.
Grading: Your grade depends on you accurately completing the assignment, not on your fitness scores.  This assignment is worth 50 points total, you will lose 5 points for each fitness test that has not been completed or excused.  You will receive a grade of 0 if your Fitness Pre and Post Test Data is not entered exactly as directed.
Use of data: The information that you submit will be used to establish fitness and health trends within Advanced Physical Education Classes.  We ask for your name only to insure the accuracy of the information that you are providing.  At no time will an individual be identified in relation to this data.

(If you did not complete the test leave the box empty.)

Test Name	Test Focus	Data Sample Entry	Entry Level Score	Exit Level Score	Improvement (+or-)
Mile 4 Time	Aerobic; Maximal	time: 0:mm:ss	Time:	Time:	Time:
20 Minute XC Run	Aerobic; Maximal	2.5 miles	Dist:	Dist:	Dist:
Push-Ups	Muscular       Strength/Endurance	23 Push-Ups	Reps:	Reps:	Reps:
Pull-Ups	Muscular  Strength/Endurance	10 Pull-Ups  Modification	Reps: CHOOSE ONE NONE PULL-UP TRAINER	Reps:   CHOOSE ONE NONE PULL-UP TRAINER	Reps:
1 Minute Sit-Ups	Muscular Strength/Endurance	44 Sit-Ups	Reps:	Reps:	Reps:
Power Lifting	Muscular Strength/Endurance	Total Pounds 10,000  Lb.4Lb. 7.8	Lbs Lifted: Lb4Lb:	Lbs Lifted: Lb4Lb:	Lbs: Lb4Lb:
Dips	Muscular Strength/Endurance	15 Dips  Modification	Reps: CHOOSE ONE NONE PULL-UP TRAINER	Reps: CHOOSE ONE NONE PULL-UP TRAINER	Reps:
Body Fat %	Body Composition	16 %	%:	%:	%:
Marine Corp	Total Points, 3 mile time, 2 min. sit-up reps, Pull-Ups/Flexed Arm Hang & Classification	300 = Perfect 0:mm:ss 75 reps 15 reps or 50 sec.	Total Points: Time: Reps: Reps or Sec: CHOOSE ONE 1st Class Marine 2nd Class Marine 3rd Class Marine Did not qualify Incomplete Test	Total Points: Time: Reps: Reps or Sec: CHOOSE ONE 1st Class Marine 2nd Class Marine 3rd Class Marine Did not qualify Incomplete Test	Total Points: Time: Reps: Reps or Sec:
Man Maker		0:mm:ss		Time:

Just click one time on the Submit button, Do not double click.